Cost of a Primary Care Doctor (Family Medicine) Visit
in Maine
Reviewed by Momentary Medical Group West PC
Maine's rural healthcare challenges are reflected in its limited Primary Care Doctor (Family Medicine) network, where patients face some of the highest costs in New England. Patients typically pay between $80 and $255 for visits, with a median out-of-pocket cost of $204, served by just 145 active Primary Care Doctor (Family Medicine) providers statewide. Browse all Primary Care Doctor (Family Medicine) providers in Maine to compare costs and find the most affordable option for your needs.
Average
$180
Median
$204
Lowest
$80
Highest
$255
Providers
145
39% above national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in Maine?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $85 | $250 | $255 | 133 |
| Cardiologist Visit Standard office visit with a cardiologist | 99214 | $114 | $255 | $255 | 42 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214 — Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99214 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.
What CPT 99214 covers: the provider's professional fee for family medicine visit. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top Rated Family medicine physicians in Maine
Dr. Nathan Murray-James, MD
Family Medicine Physician · Hallowell, ME
Dr. Peggy Wyman, MD
Family Medicine Physician · Monmouth, ME
Dr. Margaret Webb, MD
Family Medicine Physician · Waldoboro, ME
Dr. Julie Phelps, MD
Family Medicine Physician · Waterville, ME
Dr. Raymond Tardif, MD
Family Medicine Physician · Auburn, ME
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across Maine
Maine's Primary Care Doctor (Family Medicine) costs run approximately 12% above national averages, driven by the state's rural geography and limited provider competition. The Pine Tree State's vast geography creates significant access challenges, with many residents traveling long distances for specialty care.
Urban vs. Rural Provider Availability
Portland and Bangor concentrate most of Maine's Primary Care Doctor (Family Medicine) providers, while rural counties like Piscataquis and Washington have limited options requiring patients to travel significant distances. This geographic disparity creates higher costs in underserved areas where providers face less competition and higher operational expenses serving scattered populations.
Facility Type and Overhead Costs
Northern Light Health and Maine Health systems dominate the state's healthcare landscape, with many Primary Care Doctor (Family Medicine) providers working in hospital-owned outpatient clinics that carry higher overhead costs. Independent practices are increasingly rare in rural Maine, contributing to higher average costs as hospital systems consolidate market share.
Insurance Market Competition in Maine
Anthem holds significant market share in Maine's individual and group insurance markets, with Harvard Pilgrim and UnitedHealthCare providing additional competition primarily in southern regions. This moderate competition allows insurers some leverage in rate negotiations, though the limited provider network constrains negotiating power and contributes to higher reimbursement rates.
Physician Supply and Demand in Maine
With only 145 active Primary Care Doctor (Family Medicine) providers serving the entire state, Maine faces a significant shortage relative to its aging population and rural geography. This supply constraint drives up costs and extends wait times, particularly in northern and eastern counties where provider density is lowest and demand for primary care services continues growing.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in Maine.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in Maine
What is the average cost of a Primary Care Doctor (Family Medicine) visit in Maine without insurance?
Does Maine Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in Maine?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in Maine?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in Maine?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $91 – $314 | $215 |
| 2 | New Hampshire Range: $101 – $282 | $198 |
| 3 | Iowa Range: $80 – $314 | $187 |
| 4 | Maine Range: $80 – $255 | $180 |
| 5 | Minnesota Range: $81 – $313 | $162 |
| 6 | Wisconsin Range: $73 – $313 | $161 |
| 7 | California Range: $70 – $250 | $154 |
| 8 | Wyoming Range: $80 – $251 | $152 |
| 9 | Illinois Range: $77 – $226 | $148 |
| 10 | Massachusetts Range: $80 – $271 | $144 |
| 11 | Rhode Island Range: $85 – $200 | $143 |
| 12 | North Dakota Range: $91 – $240 | $141 |
| 13 | Texas Range: $70 – $221 | $139 |
| 14 | New Mexico Range: $80 – $178 | $138 |
| 15 | Vermont Range: $107 – $166 | $138 |
| 16 | Mississippi Range: $67 – $249 | $136 |
| 17 | Michigan Range: $66 – $249 | $134 |
| 18 | South Dakota Range: $77 – $239 | $132 |
| 19 | Hawaii Range: $70 – $239 | $131 |
| 20 | New York Range: $78 – $200 | $131 |
| 21 | Pennsylvania Range: $73 – $228 | $130 |
| 22 | Louisiana Range: $69 – $222 | $130 |
| 23 | Colorado Range: $80 – $210 | $126 |
| 24 | Connecticut Range: $80 – $200 | $124 |
| 25 | Oregon Range: $80 – $204 | $124 |
| 26 | Indiana Range: $80 – $202 | $123 |
| 27 | Ohio Range: $70 – $201 | $122 |
| 28 | Georgia Range: $72 – $188 | $122 |
| 29 | South Carolina Range: $68 – $216 | $121 |
| 30 | Washington Range: $80 – $202 | $121 |
| 31 | North Carolina Range: $66 – $210 | $119 |
| 32 | Nevada Range: $48 – $182 | $118 |
| 33 | Virginia Range: $60 – $191 | $116 |
| 34 | Arkansas Range: $70 – $175 | $116 |
| 35 | West Virginia Range: $80 – $133 | $115 |
| 36 | Florida Range: $54 – $200 | $115 |
| 37 | Idaho Range: $75 – $179 | $115 |
| 38 | New Jersey Range: $53 – $188 | $113 |
| 39 | Missouri Range: $67 – $148 | $113 |
| 40 | Kansas Range: $76 – $158 | $113 |
| 41 | Maryland Range: $49 – $194 | $112 |
| 42 | District of Columbia Range: $53 – $199 | $112 |
| 43 | Kentucky Range: $80 – $170 | $110 |
| 44 | Utah Range: $60 – $180 | $110 |
| 45 | Tennessee Range: $70 – $168 | $109 |
| 46 | Oklahoma Range: $70 – $158 | $104 |
| 47 | Arizona Range: $63 – $168 | $104 |
| 48 | Alabama Range: $61 – $160 | $100 |
| 49 | Delaware Range: $58 – $123 | $91 |
| 50 | Alaska Range: $80 – $80 | $80 |
| 51 | Montana Range: $80 – $80 | $80 |